Revision hip arthroscopy

  • M.J. P
  • M.L. S
  • K.K. B
 et al. 
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Abstract

Background: Hip arthroscopy has become increasingly popular; however, little is known about revision hip arthroscopy. Hypothesis: Revision hip arthroscopy is associated with unaddressed femoroacetabular impingement. The purpose of this study was to describe reasons for revision hip arthroscopy. Study Design: Case series; Level of evidence, 4. Methods: Between March 2005 and March 2006, 37 revision hip arthroscopies were performed by the senior author. Data were collected through retrospective review of clinical and operative notes. Results: All patients required revision surgery because of persistent hip pain. There were 25 women and 12 men with an average age of 33 years (range, 16-53 years). The average time from prior surgery to revision was 20.5 months (range, 2.9-84 months). Common findings among patients needing revision were hip pain, decreased range of motion, and functional disability. The average modified Harris Hip Score was 53 (range, 22-99). Thirty-six patients had radiographic evidence of femoroacetabular impingement at the time of revision. Revision procedures included 34 (95%) for femoroacetabular impingement, 32 (87%) for labral lesions, 26 (70%) for a chondral defect, 23 (62%) for lysis of adhesions, and 13 (35%) for previously unaddressed instability. Two patients had total hip arthroplasty after revision, and 3 patients required further revision. Of the remaining 32 patients, early follow-up was obtained on 27 (84%) at an average of 12.7 months postoperatively (range, 6-19 months). Outcomes showed patients regained some of their lost function within the first year. Conclusion: Patients commonly required revision hip arthroscopy because of persistent impingement. © 2007 American Orthopaedic Society for Sports Medicine.

Author-supplied keywords

  • *hip arthroplasty
  • *hip arthroscopy
  • *reoperation
  • Harris hip score
  • acetabulum
  • adolescent
  • adult
  • age distribution
  • article
  • clinical article
  • controlled study
  • disability
  • female
  • femoroacetabular impingement
  • femur
  • follow up
  • hip injury
  • human
  • ligament injury
  • male
  • outcome assessment
  • pain
  • priority journal
  • radiography
  • range of motion
  • sex ratio
  • treatment outcome

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Authors

  • Philippon M.J.

  • Schenker M.L.

  • Briggs K.K.

  • Kuppersmith D.A.

  • Maxwell R.B.

  • Stubbs A.J.

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